水为风激而上行也。其脉浮而洪,其症骨节疼痛,恶风,面目四肢皆肿,是宜驱散风气
为主,风去则水自下也。
麻黄附子汤
麻黄(三两) 甘草(一两) 附子(一枚)
水七升,先煎麻黄去上沫,内诸药煮取二升半,温服八分,日三。(此治风水挟寒之剂
。)
越婢汤
麻黄(六两) 石膏(半斤) 生姜(三两) 大枣(十五枚) 甘草(二两)
水六升,先煮麻黄去上沫,内诸药煮取三升,分温三服。(此治风水挟热之剂。)
香薷丸(《外台》)
干香薷(五十斤)
细锉,内釜中,以水淹之,出香薷上数寸,煮使气尽,去滓澄清,慢火煎令可丸,丸如
梧子大,每服五十丸,日三,稍加之,以小便利为度,无所忌。
薷术丸
干香薷(一斤) 白术(七两)
先将白术为末,后浓煎香薷汁和丸,如桐子大,饮服十丸,日夜四五服,利小便良。
五加皮散(《和剂》)
五加皮 地骨皮 生姜皮 大腹皮 茯苓皮
以上三方,并苦辛淡利之法。东垣云∶风水宜以辛散之,以苦泻之,以淡渗利之,使上
下分消其湿。
从肺闭得之,盖肺主诸气而行水道,肺闭则水不下行而泛滥皮肤,状与风水相似,但不
恶风为异。
防己茯苓汤
防己 黄 桂枝(各三两) 茯苓(六两) 甘草(二两)
水六升,煮取三升,分温服。
崔氏疗大腹水肿,上气,小便赤涩,颈脉动,不得卧方
苦葶苈(五两,炒黑色) 杏仁(二两,炒令色黄) 大枣(四十枚,饭上蒸去皮核)
先捣葶苈一百杵,再另捣杏仁三百杵,总和枣膏捣烂,丸如枣核大,空心服八丸。日晚
食消,更服五丸,米饮下。三日后平旦服五丸,晚服三丸。
葶苈散(《圣济》) 治十种水气,百方不愈,面目四肢俱肿,气息喘急,眠卧不
安,小便渐涩,腹胀气闷,水不入口,命垂绝者。
椒目(微炒,三两) 猪苓 泽泻(四两) 牵牛 苦葶苈(炒,六两)
加姜、葱煎三钱,酒半盅冲服。良久吃葱白粥一碗,酒一盅,面东热服,百日消尽。
白前汤
白前(二两) 紫菀(二两) 半夏(五合) 泽漆根(三两)
水一斗,内药志水痕后,加水七升,微火煎令至痕边,去滓内药六种∶
白术(二两) 吴茱萸(五合) 桂心(三两) 人参(一两) 干姜(一两) 栝蒌(五合)
微火煎取三升,分三服,小盒饭利,或溏下,勿怪,气即降,肿即减。
海藻散 治男子妇人通身浮肿,喘闷不便。
海藻 大戟 大黄 续随子(去壳,各一两)
锉碎,好酒二盏,净碗内浸一宿,取出晒干,后用白牵牛(头末一两、)滑石(半两、)甘
遂
(麸炒黄,一两)青皮(去白、)橘红(各半两、)肉豆蔻(一个,)共前药一处为细末,每服二钱
,平明淡茶清调下,至食时取下水二三行,肿减五六分,隔二三日,平明又一服肿消,忌盐
、鱼肉百日。小儿只用一钱,五岁以下用半钱,孕妇不可服。
水气因风邪激荡而向上逆行。其脉象浮而洪大,症状表现为骨节疼痛、怕风、面目及四肢均出现浮肿,治疗应以驱散风邪为主,风邪去除后,水湿自然下行。
麻黄附子汤
麻黄(三两) 甘草(一两) 附子(一枚)
用水七升,先煎煮麻黄,去掉水面上的泡沫,再加入其他药物,煮取药液二升半,温服八分,每日三次。(此方用于治疗风水证兼夹寒邪的剂型。)
越婢汤
麻黄(六两) 石膏(半斤) 生姜(三两) 大枣(十五枚) 甘草(二两)
用水六升,先煮麻黄去掉上面的泡沫,加入其他药物,煮取三升,分三次温服。(此方用于治疗风水证兼夹热邪的剂型。)
香薷丸(出自《外台秘要》)
干香薷(五十斤)
切碎,放入锅中,加水淹没香薷数寸,煮至香气耗尽,滤去药渣澄清药液,用慢火煎至可制成丸剂,制成梧桐子大小的丸药,每次服用五十丸,每日三次,稍后可增加剂量,以小便通利为度,饮食无禁忌。
薷术丸
干香薷(一斤) 白术(七两)
先将白术研成粉末,然后浓煎香薷汁调和药粉制成丸剂,如梧桐子大小,温水送服十丸,白天和夜晚共服用四五次,有利小便的功效。
五加皮散(出自《太平惠民和剂局方》)
五加皮 地骨皮 生姜皮 大腹皮 茯苓皮
以上三方,均采用苦、辛、淡味以利水渗湿的方法。李东垣说:风水证宜用辛味发散它,用苦味泻下它,用淡味渗湿利水,使上下分消体内湿气。
此病从肺气闭塞所致,因为肺主一身之气并运行水道,肺气闭塞则水液不能下行而泛滥于皮肤,症状与风水相似,只是不恶风作为区别。
防己茯苓汤
防己 黄芪 桂枝(各三两) 茯苓(六两) 甘草(二两)
用水六升,煮取三升,分三次温服。
崔氏治疗大腹水肿、上气、小便赤涩、颈部动脉搏动明显、不能平卧的方剂
苦葶苈(五两,炒至黑色) 杏仁(二两,炒至黄色) 大枣(四十枚,在饭上蒸熟去皮核)
先将葶苈捣一百杵,再另将杏仁捣三百杵,总和枣膏一起捣烂,制成如枣核大小的丸剂,空腹服用八丸。晚上食物消化后,再服五丸,米汤送下。三天后,清晨服五丸,晚上服三丸。
葶苈散(出自《圣济总录》) 治疗十种水气病,百方无效,面目四肢俱肿,气息喘急,睡眠不安,小便逐渐涩滞,腹胀气闷,水饮无法入口,生命垂危者。
椒目(微炒,三两) 猪苓 泽泻(四两) 牵牛子 苦葶苈(炒,六两)
加姜、葱煎煮三钱,用半盅酒冲服。过一会儿吃一碗葱白粥,一盅酒,面向东方热服,百日可消除尽净。
白前汤
白前(二两) 紫菀(二两) 半夏(五合) 泽漆根(三两)
用水一斗,放入药物标记水位线后,再加水七升,用微火煎至原来的水位线,滤去药渣,加入六种药物:
白术(二两) 吴茱萸(五合) 桂心(三两) 人参(一两) 干姜(一两) 栝蒌(五合)
用微火煎取三升,分三次服用,大便通畅或呈溏泄状,不要奇怪,气机即降,肿胀即减。
海藻散 治疗男女全身浮肿,气喘胸闷不便。
海藻 大戟 大黄 续随子(去壳,各一两)
切碎,用好酒两盏,在干净的碗中浸泡一夜,取出晒干,之后加入白牵牛(头末一两)、滑石(半两)、甘遂(麸炒黄,一两)、青皮(去白)、橘红(各半两)、肉豆蔻(一个),与前药一起研为细末,每次服用二钱,清晨用淡茶清调服,到吃饭时排出二三行水样便,肿胀减轻五六分,隔两三天,清晨再服一次,肿胀消退,忌食盐、鱼肉百日。小儿只用一钱,五岁以下用半钱,孕妇不可服用。
Water qi moves upward due to agitation by wind pathogen. The pulse is floating and surging, with symptoms of bone and joint pain, aversion to wind, and edema of the face, eyes, and four limbs. Treatment should primarily focus on dispelling wind; once the wind is eliminated, the water will naturally descend.
Mahuang Fuzi Tang (Ephedra and Aconite Decoction)
Ephedrae Herba (Mahuang, 麻黄) (3 liang), Glycyrrhizae Radix et Rhizoma (Gancao, 甘草) (1 liang), Aconiti Lateralis Radix Praeparata (Fuzi, 附子) (1 piece).
Add seven sheng of water, first decoct Mahuang and remove the foam on the surface, then add the remaining herbs and decoct until two and a half sheng remain. Take warm, eight fen per dose, three times daily. (This formula is used for Fengshui syndrome complicated by cold.)
Yueshi Tang (Jade Pillow Decoction)
Ephedrae Herba (Mahuang, 麻黄) (6 liang), Gypsum Fibrosum (Shigao, 石膏) (0.5 jin), Zingiberis Rhizoma Recens (Shengjiang, 生姜) (3 liang), Jujubae Fructus (Dazao, 大枣) (15 pieces), Glycyrrhizae Radix et Rhizoma (Gancao, 甘草) (2 liang).
Add six sheng of water, first decoct Mahuang and remove the foam on the surface, then add the remaining herbs and decoct until three sheng remain. Divide into three warm doses. (This formula is used for Fengshui syndrome complicated by heat.)
Xiangru Wan (Perilla Leaf Pills, from *Waitai Mi Yao*)
Dry Elsholtziae Herba (Xiangru, 香薷) (50 jin).
Finely chop, place in a pot, cover with water several inches above the herb, decoct until the aroma is exhausted, filter the dregs and clarify the liquid, then slowly reduce over low heat until it can be formed into pills. Make pills the size of wu zi (Cocculus trilobus seeds). Take 50 pills per dose, three times daily. The dosage may be slightly increased, stopping when urination becomes smooth. No dietary restrictions.
Rushu Wan (Elsholtia and Atractylodes Pills)
Dry Elsholtziae Herba (Xiangru, 香薷) (1 jin), Atractylodis Macrocephalae Rhizoma (Baizhu, 白术) (7 liang).
First grind Baizhu into powder, then decoct Xiangru in concentrated juice and mix with the powder to form pills the size of wu zi. Take 10 pills with warm water, four to five times during day and night. This effectively promotes urination.
Wujiapi San (Acanthopanacis Cortex Powder, from *Tai Ping Hui Min He Ji Ju Fang*)
Acanthopanacis Cortex (Wujiapi, 五加皮), Lycii Cortex (Digupi, 地骨皮), Zingiberis Pericarpium (Shengjiangpi, 生姜皮), Arecae Pericarpium (Dafupi, 大腹皮), Poria (Fulingpi, 茯苓皮).
The above three formulas all employ bitter, acrid, and bland methods to promote diuresis. Li Dongyuan stated: For Fengshui syndrome, one should use acrid flavors to disperse it, bitter flavors to purge it, and bland flavors to leach out dampness, thereby dispersing dampness from both upper and lower jiao.
This condition arises from lung qi obstruction. Since the Lung governs all qi and regulates water passages, lung obstruction prevents water from descending, causing it to overflow into the skin. The presentation resembles Fengshui, but differs by the absence of aversion to wind.
Fangji Fuling Tang (Stephania and Poria Decoction)
Stephaniae Tetrandrae Radix (Fangji, 防己), Astragali Radix (Huangqi, 黄芪), Cinnamomi Ramulus (Guizhi, 桂枝) (each 3 liang), Poria (Fuling, 茯苓) (6 liang), Glycyrrhizae Radix et Rhizoma (Gancao, 甘草) (2 liang).
Add six sheng of water, decoct until three sheng remain. Divide into three warm doses.
Cui Shi's Formula for Abdominal Edema, Rising Qi, Red and Scanty Urine, Pulsation of the Neck Vessels, and Inability to Lie Flat
Semen Lepidii et Descurainiae (Tinglizi, 葶苈子) (5 liang, stir-fried until black), Armeniacae Semen Amarum (Xingren, 杏仁) (2 liang, stir-fried until yellow), Jujubae Fructus (Dazao, 大枣) (40 pieces, steamed on rice, peeled, pitted).
First pound Tinglizi 100 times, then separately pound Xingren 300 times. Mix thoroughly with jujube paste and pound until smooth. Form pills the size of date pits. Take 8 pills on an empty stomach. After dinner digestion, take 5 more pills with rice drink. After three days, take 5 pills at dawn and 3 pills at night.
Tingli San (Lepidium Powder, from *Shengji Zonglu*)
Treats ten types of water qi diseases unresponsive to hundreds of prescriptions, characterized by edema of the face and four limbs, rapid breathing, restlessness, gradually scanty urine, abdominal distension and stifling sensation, inability to ingest fluids, and critical condition.
Semen Zanthoxyli (Jiaomu, 椒目) (lightly stir-fried, 3 liang), Polyporus (Zhuling, 猪苓), Alismatis Rhizoma (Zexie, 泽泻) (4 liang), Semen Sesami Nigrum (Qianniu, 牵牛子), Semen Lepidii et Descurainiae (Tinglizi, 葶苈子) (stir-fried, 6 liang).
Decoct with ginger and scallion, take 3 qian, mixed with half a zhong of wine. After some time, eat a bowl of scallion white porridge and one zhong of wine. Drink hot while facing east. The disease will resolve completely within 100 days.
Baiqian Tang (Cynanchum Atratum Decoction)
Cynanchi Atrati Radix (Baiqian, 白前) (2 liang), Asteris Radix et Rhizoma (Ziwan, 紫菀) (2 liang), Pinelliae Rhizoma (Banxia, 半夏) (5 he), Phytolaccae Radix (Zeqi, 泽漆根) (3 liang).
Add one dou of water, mark the water level after adding the medicine, then add seven sheng of water. Simmer over low heat until it reaches the original mark. Filter the dregs and add six herbs:
Atractylodis Macrocephalae Rhizoma (Baizhu, 白术) (2 liang), Evodiae Fructus (Wuzhuyu, 吴茱萸) (5 he), Cinnamomi Cortex (Guixin, 桂心) (3 liang), Ginseng Radix (Renshen, 人参) (1 liang), Zingiberis Rhizoma (Ganjiang, 干姜) (1 liang), Trichosanthis Fructus (Gualou, 栝蒌) (5 he).
Simmer over low heat until three sheng remain. Divide into three doses. If stool becomes loose or watery, do not be alarmed; qi will descend and swelling will subside.
Haizao San (Sargassum Powder)
Treats generalized edema in men and women, accompanied by asthma, chest oppression, and difficulty in defecation.
Sargassum (Haizao, 海藻), Euphorbiae Pekinensis Radix (Daji, 大戟), Rheii Radix et Rhizoma (Dahuang, 大黄), Swieteniae Semen (Xuisui Zi, 续随子) (dehusked, each 1 liang).
Chop finely, soak in two zhan of good wine in a clean bowl overnight. Remove and dry. Then add Semen Sesami Nigrum (Qian Niu Tou Mo, 白牵牛头末) (1 liang), Talcum (Huashi, 滑石) (0.5 liang), Kansui Radix (Gansui, 甘遂) (bran-stir-fried until yellow, 1 liang), Citri Reticulatae Pericarpium Viride (Qingpi, 青皮) (peeled), Citri Reticulatae Pericarpium (Juhong, 橘红) (each 0.5 liang), Myristicae Semen (Roudoukou, 肉豆蔻) (1 nut). Grind all together into fine powder. Take 2 qian per dose, mixed with light tea broth at dawn. By mealtime, expect two to three bowel movements of watery stool, reducing edema by 50-60%. Repeat every two to three days at dawn until edema resolves. Avoid salt, fish, and meat for 100 days. Children take 1 qian; those under five years take 0.5 qian. Contraindicated in pregnancy.